RT Journal
A1 Root B
T1 SPinal anesthesia with the patient supine
JF JAMA
JO JAMA
YR 1969
FD May 19
VO 208
IS 7
SP 1192
OP 1192
DO 10.1001/jama.1969.03160070070028
UL http://dx.doi.org/10.1001/jama.1969.03160070070028
AB To the Editor:— 
    In the article on "Spinal Anesthesia for Hip Pinning Given With the Patient Supine" by Alon P. Winnie, MD (207:1663, 1969), I am impressed by the ingenuity of the technique of administering a spinal anesthesia from under the operating room table through the opening in the fracture table and am willing to accept that the incidence of hypotension due to spinal anesthesia is reduced by avoiding moving the patient after administration of the anesthesia. However, I strongly disagree with the statement that "this simple change in technique has been shown to reduce... the mortality by more than one half."The author has not demonstrated, to my satisfaction, either that hypotension after spinal anesthesia is likely to be related to the subsequent mortality in hip surgery for the elderly patient, or that, as he states, "The two groups of patients studied were similar in every respect" except